DR. ASAD U. QAMAR M.D.
NPI 1033145487
Internal Medicine - Cardiovascular Disease in Ocala, FL
Quality Rating: 98.56 out of 100 score
NPI Status: Active since June 25, 2006
Contact Information
1609 SW 17TH ST
OCALA, FL
ZIP 34471
Phone: (352) 401-9888
Fax: (352) 261-0088
NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: May 11, 2022, May 14, 2020 (2 updates tracked since 2020).
- Individual
- Male
- Years of Experience 39
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ASAD QAMAR
This page provides the complete NPI Profile along with additional information for Asad Qamar, an internist established in Ocala, Florida with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1033145487 assigned on June 2006. The practitioner's primary taxonomy code is 207RC0000X with license number ME73803 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1033145487
- Provider Name
- DR. ASAD U. QAMAR M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1609 SW 17TH ST OCALA, FL 34471
- Location Phone
- (352) 401-9888
- Location Fax
- (352) 261-0088
- Mailing Address
- 1609 SW 17TH ST OCALA, FL 34471
- Mailing Phone
- (352) 401-9888
- Mailing Fax
- (352) 401-9852
- Medical School Name
- OTHER
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2006
- Last Update Date
- 05-11-2022
- Code Navigator
An internist like Asad Qamar is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME73803
- License State
- FL
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Clarity VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-06 (Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-05 (Rewards) - POS
- BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-18 (Rewards) - POS
- BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
- UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard+ (Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43434 | OTHER (01) | FL | BCBS |
| 253723100 | MEDICAID (05) | FL | |
| 110214577 | OTHER (01) | FL | RAILROAD MEDICARE |
| P00736521 | OTHER (01) | RR MEDICARE |
Medicare Participation & PECOS Enrollment Status
Asad Qamar is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Asad Qamar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9931158599
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070627000603
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 17 Medicare Claims 17 Services Paid
DME-Other DME (DE001N)
Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)
2 DME suppliers used 13 Medicare Claims 13 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
2 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 95 Medicare Claims 95 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Albumin (protein) level
Antibody identification test for white blood cell antibodies
Automated white blood cell count
Bilirubin level, direct
Blood count, hemoglobin
Blood creatinine level
Blood gases measurement
Blood test, basic group of blood chemicals (calcium, total)
Blood test, comprehensive group of blood chemicals
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Complete ultrasound of abdomen and pelvis artery and vein blood flow
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique
Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets
Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique
Detection test by nucleic acid for organism, amplified probe technique
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
Evaluation of cardiac rhythm monitor system, remote up to 30 days
Evaluation of single, dual, or multiple lead implantable defibrillator system
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
Hemoglobin a1c level
Injection, midazolam hydrochloride, per 1 mg
Injection, regadenoson, 0.1 mg
Insertion of needle into vein for collection of blood sample
Insertion of stent in vein with review by radiologist, each additional vein
Insertion of stent in vein with review by radiologist, initial vein
Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond
Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch
Insertion of tube into vein, second order branch
Liver enzyme (sgpt), level
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan
Nuclear medicine studies of heart muscle at rest and with stress and spect
Platelet count, automated test
Programming of dual lead pacemaker system
Removal of plaque and insertion of stents in arteries of leg
Removal of plaque and insertion of stents in artery of leg, initial vessel
Removal of plaque in artery of leg, each additional vessel
Review by radiologist of additional artery image
Review by radiologist of arm or leg artery image
Review by radiologist of both arms and legs veins of both arms or legs image
Review by radiologist of both arms or legs arteries image
Review by radiologist of major lower body vein image
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
Screening test for mononucleosis (mono)
Technetium tc-99m sestamibi, diagnostic, per study dose
Thyroid hormone evaluation
Thyroxine (thyroid chemical), total
Total protein level, blood
Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel
Ultrasound evaluation of blood vessel with review by radiologist, initial vessel
Ultrasound of aorta, vena cava, groin vessels or bypass grafts
Ultrasound of arm arteries or artery grafts
Ultrasound of both sides of head and neck blood flow
Ultrasound of heart
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report
Ultrasound of leg arteries or artery grafts
Ultrasound of one leg arteries or artery grafts
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes
The Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.
This service was performed 36 times for 32 patientsAn antibody identification test for white blood cell antibodies is a lab procedure to detect specific antibodies in your blood. These antibodies may react against white blood cells, potentially causing health issues. This test helps in diagnosing conditions related to your immune system.
This service was performed 147 times for 107 patientsAn automated white blood cell count is a test that measures the number of white blood cells in your body. These cells help fight infections and diseases. The test involves taking a small blood sample from your arm. The results can provide important information about your health.
This service was performed 294 times for 106 patientsA direct bilirubin test measures a form of bilirubin in your blood. Bilirubin is a substance produced during the normal breakdown of red blood cells. High levels may indicate liver or blood disorders. This test helps diagnose and monitor these conditions.
This service was performed 36 times for 32 patientsA blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
This service was performed 147 times for 106 patientsA blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
This service was performed 117 times for 86 patientsBlood gases measurement is a test that checks how well your lungs move oxygen into your blood and remove carbon dioxide. It involves drawing blood from an artery, typically in your wrist. The results help evaluate your lung function and guide treatment plans.
This service was performed 117 times for 86 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 117 times for 86 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 36 times for 32 patientsA lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
This service was performed 15 times for 14 patientsA TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
This service was performed 17 times for 16 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 296 times for 107 patientsThis procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.
This service was performed 12 times for 12 patientsThis procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
This service was performed 17 times for 16 patientsThis procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
This service was performed 60 times for 45 patientsThis test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.
This service was performed 48 times for 42 patientsThis is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.
This service was performed 47 times for 40 patientsThis test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.
This service was performed 48 times for 42 patientsThis test checks for Mycoplasma pneumoniae, a bacteria that can cause lung infection. It uses a method called amplified probe technique, which identifies the bacteria's genetic material. This helps in diagnosing the infection accurately.
This service was performed 48 times for 42 patientsA nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
This service was performed 624 times for 42 patientsAn Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.
This service was performed 120 times for 117 patientsAn Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.
This service was performed 161 times for 150 patientsAn Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.
This service was performed 160 times for 149 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 2,177 times for 512 patientsThis procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
This service was performed 162 times for 34 patientsThis procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.
This service was performed 24 times for 22 patientsAn exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
This service was performed 119 times for 118 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 15 times for 14 patientsMidazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).
This service was performed 32 times for 19 patientsRegadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
This service was performed 423 times for 122 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 186 times for 138 patientsThis procedure involves placing a small tube, or stent, in your vein to keep it open. A radiologist, a doctor specialized in medical imaging, reviews the procedure. If more veins need stents, the process is repeated. This helps improve blood flow.
This service was performed 23 times for 15 patientsA stent insertion in a vein is a procedure where a small, mesh tube is placed within your vein to keep it open. This helps improve blood flow. A radiologist, a doctor specialized in imaging technology, will review the procedure to ensure the stent is correctly positioned.
This service was performed 22 times for 17 patientsThis procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. It's done to improve blood flow or deliver medication. If more than one tube is needed, each additional insertion is done separately.
This service was performed 35 times for 14 patientsThis procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.
This service was performed 20 times for 19 patientsThis procedure involves placing a tube into a vein, specifically a second order branch, which is a smaller vein branching off a main one. It's done to administer medications or fluids, or to collect blood samples. It's a common, typically painless procedure performed under sterile conditions.
This service was performed 17 times for 13 patientsA liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
This service was performed 36 times for 32 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 2,006 times for 19 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 170 times for 170 patientsThis is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.
This service was performed 44 times for 44 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 82 times for 82 patientsAn automated platelet count test is a blood test that measures the number of platelets, which are small blood cells that help in clotting. This test helps doctors assess your body's ability to form clots and stop bleeding, and can aid in diagnosing various conditions.
This service was performed 147 times for 106 patientsProgramming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
This service was performed 67 times for 35 patientsThis procedure, known as angioplasty, involves a small tube being inserted into your leg artery. The tube has a tiny balloon that inflates to remove plaque blocking the artery. A stent (a small mesh tube) is then placed to keep the artery open, improving blood flow.
This service was performed 21 times for 19 patientsThis procedure involves clearing blockages in the leg artery caused by plaque buildup. A small tube called a stent is then inserted to keep the artery open, promoting healthy blood flow. This is done for the first affected vessel.
This service was performed 20 times for 17 patientsThis procedure involves eliminating plaque buildup in your leg arteries to improve blood flow. If more than one vessel is affected, each additional vessel will also be treated in the same session. This can help alleviate symptoms and prevent serious complications.
This service was performed 19 times for 14 patientsThis procedure involves a radiologist examining an extra image of your artery. It's done to gain more insight into your vascular health. The radiologist will study the image to identify any abnormalities or issues that may need further medical attention.
This service was performed 52 times for 21 patientsThis procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.
This service was performed 28 times for 24 patientsThis procedure involves a radiologist examining images of veins in your arms and legs. These images can help identify any abnormalities or issues with blood flow. The process is non-invasive and painless, providing valuable information for your healthcare.
This service was performed 19 times for 15 patientsThis procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.
This service was performed 33 times for 31 patientsThis procedure involves a radiologist examining an image of a large vein in your lower body. The radiologist uses this image to identify any abnormalities or issues that may affect your health. The procedure is painless and non-invasive, providing valuable information for your healthcare.
This service was performed 22 times for 17 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 261 times for 223 patientsRubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.
This service was performed 45 times for 45 patientsA screening test for mononucleosis, often known as 'mono', is a simple blood test. It checks for antibodies that your body produces when fighting the Epstein-Barr virus, the common cause of mono. This test helps confirm if symptoms like fatigue, sore throat, and fever are due to mono.
This service was performed 147 times for 107 patientsTechnetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
This service was performed 162 times for 81 patientsA thyroid hormone evaluation is a test that measures the levels of thyroid hormones in your body. These hormones regulate energy and metabolism. If they're too high or too low, it could indicate a thyroid disorder. This test helps in diagnosing and managing such conditions.
This service was performed 18 times for 17 patientsA Thyroxine (thyroid chemical) total test measures the amount of thyroxine, a hormone produced by your thyroid gland, in your blood. This hormone helps regulate your body's metabolism. The test can help diagnose thyroid disorders, such as hypothyroidism or hyperthyroidism.
This service was performed 18 times for 17 patientsA total protein level blood test measures the amount of proteins in your blood. Proteins are essential for body functions, including immune response, tissue repair, and nutrient transportation. Abnormal levels may indicate certain diseases or conditions. It's a simple test involving a blood draw.
This service was performed 36 times for 32 patientsAn ultrasound evaluation of a blood vessel is a non-invasive procedure that uses sound waves to create images of your blood vessels. A radiologist reviews these images to check for any abnormalities. If additional vessels need reviewing, the process is repeated.
This service was performed 112 times for 40 patientsThis procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.
This service was performed 58 times for 46 patientsThis procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps doctors check for issues like blockages or enlargements. It's non-invasive and painless.
This service was performed 30 times for 30 patientsAn ultrasound of arm arteries or artery grafts involves using sound waves to create images of your arm's blood vessels. This helps evaluate blood flow and detect issues like blockages or narrowing. It's non-invasive, painless, and safe.
This service was performed 14 times for 14 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 253 times for 243 patientsAn ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.
This service was performed 14 times for 14 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 260 times for 249 patientsThis procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.
This service was performed 12 times for 12 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
This service was performed 262 times for 235 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
This service was performed 80 times for 56 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 338 times for 280 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 109 times for 75 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 36 times for 30 patientsThis service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
This service was performed 57 times for 27 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.51 for a new patient copayment and $17.51 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34471 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.04
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $32.51
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.56, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 98.56 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category comprises 40% of a provider's final MIPS score.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category comprises 25% of a provider's final MIPS score.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category comprises 15% of a provider's final MIPS score.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category comprises 15% of a provider's final MIPS score. -
Cost Score: 91.16
The Cost performance category assesses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category comprises 20% of a provider's final MIPS score.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033145487, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
OCALA, FL 34471
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033145487, enumerated as an "individual" on June 25, 2006.
The provider is located at 1609 SW 17TH ST OCALA, FL 34471 and the phone number is (352) 401-9888.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.